Program Operations Manual System (POMS)

If the termination action was processed later than the actual event date, causing an overpayment to the terminated beneficiary or the representative payee, the termination notice will require overpayment, refund/recovery, and waiver language. We indicate on the exhibit where this language should be. Below we show what the language should be for various situations.

All Termination Notices with an Overpayment will include paragraph 3922A, below.

3922A

Since we could not stop (1) payments until (2) , you will have to pay back the money you got (3) for (4) . This overpayment totals $ (5) .

Fill-ins:

your; when representative payee involved, “Mr.” or “Ms.” last name possessive, if adult; if child, first name, possessive

month we actually stopped payments

for “Mr.” or “Ms.” last name if adult; for first name, if child; or omit if no payee

month(s) of overpayment

total amount of overpayment (including taxes withheld from alien)

The refund/recovery and waiver/appeal language will depend on the situation. Every overpayment letter must include one of the refund/recovery paragraphs and one of the waiver paragraphs. All overpayment letters must include a refund envelope and Form SSA-3105.

REFUND/RECOVERY PARAGRAPHS

TERMINATED BENEFICIARY RECEIVING BENEFITS FOR OTHER BENEFICIARY IN SAME HOUSEHOLD — REFUND REQUESTED OR ADJUSTMENT PROPOSED —OVERPAYMENT MORE THAN MONTHLY PAYMENT—

Use fill in 3106A if the liable individual is receiving other program benefits (e.g., a person liable for repayment of a title II overpayment receives or title XVI payments). Use 3100FC if the person is outside the U.S.